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CARLEIGH BAKER
NPI 1053261248
Social Worker - Clinical in Decatur, IL

Active since January 29, 2026PECOS Enrolled
151 N MAIN ST, DECATUR, IL 62523(217) 362-6262(217) 362-6290 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carleigh Baker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLEIGH BAKER (NPI 1053261248) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149030661) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053261248
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLEIGH BAKER
Location Address151 N MAIN STDecatur, IL 62523-1206
Mailing Address151 N Main StDecatur, IL 62523-1206 · (217) 362-6262 · Fax (217) 362-6290
Phone(217) 362-6262
Fax(217) 362-6290
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1053261248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149030661
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
151 N MAIN ST, Decatur, IL 62523
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carleigh Baker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678055126
PECOS Enrollment IDI20260304000695
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carleigh Baker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Behavioral Health Center Inc.
0.1 mi
Primary Care
151 N MAIN ST
Decatur, IL 62523
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1023708880 (217) 362-6262

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62523 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE A RAY
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
CATHY JOHANSEN L.P.N.
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MATYA LEANN RILEY FNP-C
Nurse Practitioner (Family)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
ADDIE L SMITH LSW
Social Worker
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
BARBARA L PICKETT
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
HERITAGE BEHAVIORAL HEALTH CENTER INC.
Clinic/Center (Primary Care)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MICHELLE HANSON LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
LESA J MCMAHON-LOWE LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 420-4776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carleigh Baker's NPI number?

The NPI number for Carleigh Baker is 1053261248. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Carleigh Baker located?

Carleigh Baker practices at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.

What is Carleigh Baker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carleigh Baker enrolled in Medicare?

Yes. Carleigh Baker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carleigh Baker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carleigh Baker reassigns Medicare benefits to Heritage Behavioral Health Center Inc. (Decatur, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carleigh Baker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carleigh Baker was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.